MR. ALAN RICHARD JR. HARRISON (PA) – Medical Physician Assistant, NPI 1073573630

MR. ALAN RICHARD JR. HARRISON (PA) is a healthcare provider. based in Edina, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 9306 (MN). The NPI Number for MR. ALAN RICHARD JR. HARRISON (PA) is 1073573630

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. ALAN RICHARD JR. HARRISON (PA)
NPI
1073573630
Phone
(952) 428-0500
Address
7373 FRANCE AVE S.
Enumeration Date
27 March 2006
Last Update Date
16 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524427843
Graduation Year
1997 (29 years ago)
PAC ID
9032192406
Group Practice PAC ID
1254418403
Professional Enrollment ID
I20040608001165
Address ID
MN553871752WA500XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for MR. ALAN RICHARD JR. HARRISON (PA)

  • Centennial Lakes Medical Center, 7373, France Avenue South, Centennial Lakes, Edina, Hennepin County, Minnesota, 55435, United States

    SUITE 300

    EDINA, MN 554354538

    Phone: (952) 428-0500

    Fax: (952) 428-0501

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040608001165IPhysician AssistantMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11997$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5033$0
99215Established patient office or other outpatient visit, 40-54 minutes3326$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3232$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2619$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254418403View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)MN
Cardiovascular Disease (Cardiology)MN
Nurse PractitionerMN
Physician AssistantMN
Cardiovascular Disease (Cardiology)NY
Cardiovascular Disease (Cardiology), Internal MedicineMN
Internal Medicine, Cardiovascular Disease (Cardiology)MN
Cardiovascular Disease (Cardiology)MN
Internal Medicine, Cardiovascular Disease (Cardiology)MN
Cardiovascular Disease (Cardiology), Internal MedicineMN

Reviews

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Frequently asked questions

What is MR. ALAN RICHARD JR. HARRISON (PA)'s NPI number?
MR. ALAN RICHARD JR. HARRISON (PA)'s NPI is 1073573630 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MR. ALAN RICHARD JR. HARRISON (PA)?
You should see MR. ALAN RICHARD JR. HARRISON (PA) as active in CMS-hosted NPPES data.
What expertise is attributed to MR. ALAN RICHARD JR. HARRISON (PA)?
MR. ALAN RICHARD JR. HARRISON (PA)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Minnesota is MR. ALAN RICHARD JR. HARRISON (PA) registered?
Use Edina, Minnesota as the headline location for MR. ALAN RICHARD JR. HARRISON (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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